Organization Active NPI

Pauravi Raval

  • Podiatrist
  • Waldwick, NJ
National Provider Identifier
1851437495
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PAURAVI RAVAL
Practice address
36 Franklin Tpke
Waldwick, NJ 07463-1755
Phone
(201) 251-0911
Fax
(201) 251-7788
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pauravi PO N Raval, DPM
Title
Owner
Phone
(201) 251-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X NJ Primary

Addresses

Primary practice location

36 Franklin Tpke
Waldwick, NJ 07463-1755

Mailing address

36 Franklin Tpke
Waldwick, NJ 07463-1755
Phone (201) 251-0911

Other names 1

  • Active Foot & Ankle Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930092253 NJ DME Supplier - Physician - Podiatry 8729109467 Practice locations: Waldwick, NJ

National Provider Directory

National Provider Directory

Locations

36 Franklin Tpke
Waldwick, NJ 07463
Phone (201) 248-7704

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1851437495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FRANKLIN TPKE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631755",
            "telephone_number": "201-251-0911",
            "fax_number": "201-251-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 FRANKLIN TPKE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631755",
            "telephone_number": "201-251-0911",
            "fax_number": "201-251-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAURAVI RAVAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "RAVAL",
        "authorized_official_first_name": "PAURAVI PO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-251-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Foot & Ankle Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldwick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.